We report the case of a 43-year-old man with a history of hypertension and a history of biliary colic associated with vomitinglithiasis who came to the emergency room for abdominal pain in the right hypochondrium associated with 48 hours.
In the clinical examination pain and defensiveness to the right hypochondrium stand out, with positive Murphy's sign.
In the laboratory tests requested, the leukocyte count was 6.7x103/μL (return: 4-10.5 103/μL), with associated neutrophilia.
Total bilirubin 0.6 mg/dl (represented: 0.2-1.10 mg/dl), AST 66 mg/dl (represented ≥ 8 mg/dl), amylase 43 mg/dl (dl), CRP 15 mg/dl
Urgent abdominal ultrasound showed distended gallbladder, edema in the wall and presence of gallstones.
With the diagnosis of acute colitis, the patient was an urgent laparoscopic cholecystectomy which had a favorable postoperative recovery without complications.
The result of the pathological study revealed the presence of chronic and ectopic pancreatic tissue in the gallbladder wall.
